|
Tc-99m sulfur colloid
|
$31.62 |
$31.62 |
$31.62 |
$240.50
|
|
Tc-99m tetrofosmin p study dose
|
$49.98 |
$49.98 |
$49.98 |
$190.80
|
|
Tc-99m tilmanocept diag
|
$350.03 |
$350.03 |
$350.03 |
$955.60
|
|
Tca peel dermal 15789
|
$325.21 |
$325.21 |
$325.21 |
$1,324.80
|
|
T cells absolute cd4/cd8 including ratio
|
$13.81 |
$13.81 |
$13.81 |
$176.40
|
|
T cells absolute cd 4 count
|
$4.05 |
$4.05 |
$4.05 |
$111.20
|
|
T cells total count
|
$5.74 |
$5.74 |
$5.74 |
$126.90
|
|
Tcranial magn stim tx deli
|
$97.92 |
$97.92 |
$97.92 |
$389.22
|
|
Tcranial magn stim tx plan
|
$138.04 |
$138.04 |
$138.04 |
$437.22
|
|
Tcran magn stim redetemine
|
$112.71 |
$112.71 |
$112.71 |
$457.60
|
|
Teaec w/wo patch graft iliofemoral
|
$553.86 |
$553.86 |
$553.86 |
$5,163.60
|
|
Team conf without pat by phys
|
$37.91 |
$37.91 |
$37.91 |
$140.25
|
|
Telehealth original site facility fee
|
$16.32 |
$16.32 |
$16.32 |
$51.00
|
|
Telethx isodose plan cplx
|
$421.43 |
$421.43 |
$421.43 |
$1,526.85
|
|
Telethx isodose plan simple
|
$261.46 |
$261.46 |
$261.46 |
$873.62
|
|
Tendon lngth upr a/e ea tdn
|
$350.37 |
$350.37 |
$350.37 |
$3,545.97
|
|
Tendon transfer with graft
|
$556.07 |
$556.07 |
$556.07 |
$3,786.00
|
|
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)
|
$9,852.51 |
$9,852.51 |
$9,852.51 |
$15,245.38
|
|
Tenodesis biceps tdn at elbw
|
$364.31 |
$364.31 |
$364.31 |
$5,886.74
|
|
Tenolysis extensor tendon hand/finger each
|
$368.90 |
$368.90 |
$368.90 |
$2,811.20
|
|
Tenosynovectomy radic 26145
|
$314.16 |
$314.16 |
$314.16 |
$1,893.86
|
|
Tenotomy hip flexor open
|
$429.93 |
$429.93 |
$429.93 |
$2,618.20
|
|
Tenotomy open tndn flxr toe sgl tndn spx
|
$426.70 |
$426.70 |
$426.70 |
$2,139.67
|
|
Terbutaline 1 mg/ml subcutaneous solution
|
$23.09 |
$23.09 |
$23.09 |
$39.33
|
|
Test for chlorohydrocarbons
|
$19.89 |
$19.89 |
$19.89 |
$65.00
|
|
Testicular imaging w/vasc flow
|
$173.23 |
$173.23 |
$173.23 |
$842.56
|
|
Test stress cardiovascular tracing only
|
$535.84 |
$535.84 |
$535.84 |
$949.70
|
|
Tetanus immune globulin inj
|
$1,106.68 |
$1,106.68 |
$1,106.68 |
$1,285.36
|
|
Theophylline therapeutic drug level
|
$185.98 |
$185.98 |
$185.98 |
$108.00
|
|
Therapeutic procd strg endur
|
$21.08 |
$21.08 |
$21.08 |
$85.68
|
|
Therapeutic pulpotomy
|
$47.43 |
$47.43 |
$47.43 |
$744.80
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$28.73 |
$28.73 |
$28.73 |
$57.31
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$15.64 |
$15.64 |
$15.64 |
$50.00
|
|
Ther fx nasal inf turbinate
|
$854.76 |
$854.76 |
$854.76 |
$3,786.00
|
|
Ther nma rdctj intus/obstrcj
|
$67.49 |
$67.49 |
$67.49 |
$529.08
|
|
Ther/proph/diag inj ia
|
$8.33 |
$8.33 |
$8.33 |
$240.35
|
|
Ther radiology tx plng cplx
|
$114.41 |
$114.41 |
$114.41 |
$332.00
|
|
Ther radiology tx plng intrm
|
$73.78 |
$73.78 |
$73.78 |
$224.00
|
|
Ther radiology tx plng smpl
|
$47.94 |
$47.94 |
$47.94 |
$148.80
|
|
Thiamine hcl (vitamin b1) 100 mg/ml injection solution
|
$12.40 |
$12.40 |
$12.40 |
$25.54
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$464.95 |
$464.95 |
$464.95 |
$1,687.50
|
|
Thoracic lymphadenect/thoracotomy 38746
|
$115.94 |
$115.94 |
$115.94 |
$499.80
|
|
Thoracoscopy diagnostic 32601
|
$170.34 |
$170.34 |
$170.34 |
$6,442.80
|
|
Thoracoscopy lymph node exc
|
$116.11 |
$116.11 |
$116.11 |
$1,071.20
|
|
Thoracoscopy remove cortex
|
$610.47 |
$610.47 |
$610.47 |
$5,332.80
|
|
Thoracoscopy remov fb/fibrin 32653
|
$592.96 |
$592.96 |
$592.96 |
$2,587.20
|
|
Thoracoscopy surgical 32650
|
$377.91 |
$377.91 |
$377.91 |
$2,815.80
|
|
Thoracoscopy w/bx med space
|
$253.81 |
$253.81 |
$253.81 |
$6,463.42
|
|
Thoracoscopy w/pleurectomy 32656
|
$72.25 |
$72.25 |
$72.25 |
$3,447.60
|
|
Thoracoscopy w/wedge resect
|
$487.56 |
$487.56 |
$487.56 |
$4,232.00
|
|
Thoracoscopy w w resect diag 32668
|
$84.66 |
$84.66 |
$84.66 |
$304.20
|
|
Thorax spine fusion
|
$742.39 |
$742.39 |
$742.39 |
$3,044.00
|
|
Thorax stereo rad targetw/tx
|
$115.26 |
$115.26 |
$115.26 |
$529.60
|
|
Thorcscpy w/biop pleura
|
$142.12 |
$142.12 |
$142.12 |
$6,904.15
|
|
Thrcspy w/diag bp lng inf uni
|
$170.00 |
$170.00 |
$170.00 |
$6,792.80
|
|
Thrcspy w/diag bp lng nod uni
|
$208.25 |
$208.25 |
$208.25 |
$6,120.30
|
|
Thrombectmy crnry perq mechanical
|
$1,854.36 |
$1,854.36 |
$1,854.36 |
$3,580.00
|
|
Thrombectomy/inf pq dialysis circuit
|
$4,028.49 |
$4,028.49 |
$4,028.49 |
$8,084.00
|
|
Thrombectomy/inf pq dialysis circuit w/pta
|
$8,141.98 |
$8,141.98 |
$8,141.98 |
$14,277.20
|
|
Thrombectomy/inf pq dialysis circuit w/stent plcmnt
|
$12,341.15 |
$12,341.15 |
$12,341.15 |
$21,413.60
|
|
Thromb/endar/neck inc/car/vert/subc35301
|
$610.13 |
$610.13 |
$610.13 |
$5,520.00
|
|
Thrombin time
|
$1.64 |
$1.64 |
$1.64 |
$53.76
|
|
Thromboendarterectomy common femoral
|
$440.64 |
$440.64 |
$440.64 |
$3,980.60
|
|
Thromboendarterectomy including patch graft if preformed;
|
$493.85 |
$493.85 |
$493.85 |
$5,994.11
|
|
Thromboendarterectomy including patch graft; iliac 35351
|
$694.45 |
$694.45 |
$694.45 |
$4,585.00
|
|
Thromboendarterectomy sfa
|
$601.97 |
$601.97 |
$601.97 |
$4,185.30
|
|
Thromboplastin inhibition
|
$22.10 |
$22.10 |
$22.10 |
$53.30
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$105.06 |
$105.06 |
$105.06 |
$61.52
|
|
Thromboxane urine
|
$7.97 |
$7.97 |
$7.97 |
$95.00
|
|
Thumb fusion with graft
|
$499.12 |
$499.12 |
$499.12 |
$7,913.97
|
|
Thyroglobulin antibody
|
$30.60 |
$30.60 |
$30.60 |
$82.00
|
|
Thyroidectomy inc substrnl split/trans approch 60270
|
$778.26 |
$778.26 |
$778.26 |
$2,616.00
|
|
Thyroid imaging
|
$96.56 |
$96.56 |
$96.56 |
$695.02
|
|
Thyroid met imaging
|
$198.56 |
$198.56 |
$198.56 |
$838.25
|
|
Thyroid mets imag whole body
|
$527.68 |
$527.68 |
$527.68 |
$1,524.99
|
|
Thyroid (TSH) Test
|
$127.33 |
$127.33 |
$127.33 |
$111.00
|
|
Thyroid Ultrasound
|
$290.36 |
$290.36 |
$290.36 |
$588.50
|
|
Thyroid uptake measurement
|
$126.65 |
$126.65 |
$126.65 |
$591.25
|
|
Thyroxine binding globulin (tbg)
|
$2.23 |
$2.23 |
$2.23 |
$64.35
|
|
Tibial arthroscopy/surgery
|
$464.27 |
$464.27 |
$464.27 |
$5,801.60
|
|
Tibial arthroscopy/surgery
|
$585.48 |
$585.48 |
$585.48 |
$10,629.07
|
|
Tissue culture placenta
|
$29.84 |
$29.84 |
$29.84 |
$457.00
|
|
Tissue culture skin/biopsy
|
$40.57 |
$40.57 |
$40.57 |
$484.00
|
|
Tissue exam koh skin/hair/nails
|
$59.50 |
$59.50 |
$59.50 |
$47.20
|
|
Tissue transglutaminase iga
|
$2.04 |
$2.04 |
$2.04 |
$44.16
|
|
Tl-201 thallium diag per mci
|
$24.99 |
$24.99 |
$24.99 |
$78.40
|
|
Tlh uterus 250 g or less
|
$469.54 |
$469.54 |
$469.54 |
$11,533.76
|
|
Tlh uterus over 250 g
|
$602.48 |
$602.48 |
$602.48 |
$9,363.13
|
|
Tlh w/t/o 250 g or less
|
$527.68 |
$527.68 |
$527.68 |
$12,320.22
|
|
Tlh w/t/o uterus over 250 g
|
$704.31 |
$704.31 |
$704.31 |
$12,320.22
|
|
Tobramycin peak therapeutic drug level
|
$232.39 |
$232.39 |
$232.39 |
$120.60
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$4,171.76 |
$4,171.76 |
$4,171.76 |
$5,258.52
|
|
Tomosynthesis breast diagnostic left
|
$45.39 |
$45.39 |
$45.39 |
$73.00
|
|
Tomosynthesis breast screen bilateral
|
$48.62 |
$48.62 |
$48.62 |
$72.68
|
|
Tongue and neck surgery
|
$1,268.37 |
$1,268.37 |
$1,268.37 |
$2,745.01
|
|
Tongue base vol reduction
|
$228.48 |
$228.48 |
$228.48 |
$3,986.00
|
|
Tongue biopsy; posterior one-third 41105
|
$732.36 |
$732.36 |
$732.36 |
$3,544.29
|
|
Tonsillectomy (age 12+)
|
$154.19 |
$154.19 |
$154.19 |
$4,424.11
|
|
Tonsillectomy (child under 12)
|
$162.52 |
$162.52 |
$162.52 |
$5,339.00
|
|
Total hip arthroplasty
|
$970.53 |
$970.53 |
$970.53 |
$7,347.60
|
